BRENT BOUDREAUX

SHREVEPORT, LA
NPI1467423913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: LA  017805)
Enumeration Date2006-01-31
Last Update Date2014-02-03
Business Address
-- BRENT BOUDREAUX md
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4550
Mailing Address
-- BRENT BOUDREAUX md
PO BOX 9600 DEPT 09-033
TEXARKANA, TX 75505-9600
Phone number: 877-243-8416
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